<include file="Public/header"/>
<div class="xywx-wrap">
    <div class="xywx inform-body order-body">
        <div class="xywx-top colormark">
            <div class="inform-tit">体验预约</div>
        </div>
        <div class="xywx-con inform-con order-con">
            <form name="myform" method="post" action="<?php echo U('Activity/checkInApply'); ?>">
            <div class="inform-list">
                <div class="cttxt-raw must">
                    <span class="intit">姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名：</span>
                    <span class="intxt">
                        <input type="text" name="CheckInApply[name]" class="inframe">
                    </span>
                </div>
                <div class="cttxt-raw must">
                    <span class="intit">性&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;别：</span>
                    <span class="intxt">
                        <label><input type="radio" name="CheckInApply[sex]" value="1" checked>男</label>
                        <label><input type="radio" name="CheckInApply[sex]" value="2">女</label>
                    </span>
                </div>
                <div class="cttxt-raw must">
                    <span class="intit">联系电话：</span>
                    <span class="intxt">
                        <input type="text" name="CheckInApply[phone]" class="inframe">
                    </span>
                </div>
                <div class="cttxt-raw must">
                    <span class="intit">邮&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;箱：</span>
                    <span class="intxt">
                        <input type="email" name="CheckInApply[email]" class="inframe">
                    </span>
                </div>
                <div class="cttxt-raw must idcard">
                    <span class="intit">身&nbsp;份&nbsp;证：</span>
                    <span class="intxt">
                        <input type="text" name="CheckInApply[id_card]" class="inframe">
                    </span>
                </div>
                <div class="cttxt-raw">
                    <span class="intit">亲属姓名：</span>
                    <span class="intxt">
                        <input type="text" name="CheckInApply[relative_name]" class="inframe">
                    </span>
                </div>
                <div class="cttxt-raw">
                    <span class="intit">亲属电话：</span>
                    <span class="intxt">
                        <input type="text" name="CheckInApply[relative_phone]" class="inframe">
                    </span>
                </div>
                <div class="cttxt-raw">
                    <span class="intit">亲属邮箱：</span>
                    <span class="intxt">
                        <input type="email" name="CheckInApply[relative_email]" class="inframe">
                    </span>
                </div>
                <div class="cttxt-raw must">
                    <span class="intit">预约内容：</span>
                    <span class="intxt">
                        <label><input type="radio" name="CheckInApply[experience_type]" value="1" checked>日间体验</label>
                        <label><input type="radio" name="CheckInApply[experience_type]" value="2">试住体验</label>
                    </span>
                </div>
                <div class="cttxt-raw must">
                    <span class="intit">回复方式：</span>
                    <span class="intxt">
                        <label><input type="radio" name="CheckInApply[reply_type]" value="1" checked>邮件联系</label>
                        <label><input type="radio" name="CheckInApply[reply_type]" value="2">电话联系</label>
                    </span>
                </div>
                <div class="cttxt-raw must">
                    <span class="intit">亲属陪同：</span>
                    <span class="intxt">
                        <label class="order-male"><input type="radio" name="CheckInApply[is_relative_accompany]" value="1" checked>是</label>
                        <label><input type="radio" name="CheckInApply[is_relative_accompany]" value="0">否</label>
                    </span>
                </div>
                <div class="cttxt-mark">
                    <span><em>*</em>&nbsp;必填选项</span>
                </div>
                <div class="xy-handle">
                    <input type="submit" class="xybtn btn-submit" id="inSubmit" value="预约" />
                    <input type="reset" class="xybtn btn-reset" value="重置" />
                </div>
            </div>
            </form>
        </div>
    </div>
</div>
<include file="Public/footer"/>